A Prospective Study on Relaparotomies Following Obstetric & Gynecological Surgeries: A Hospital Based Study

  • Tilak Raj Kakkar Assistant Professor, Department of General Surgery, Rohilkhand Medical College and Hospital, Bareilly.
  • Anuradha Kakkar Assistant Professor, Department of Obstetrics and Gynaecology, Rohilkhand Medical College and Hospital, Bareilly.
Keywords: Relaparotomies, Obstetric and Gynecological Surgeries, Mortality

Abstract

Background: The purpose of relaparotomy is to manage the previous surgery complications, maintain homeostasis, to clear intraabdominal infection and prevent sepsis. Relaparotomy is a difficult decision and it should be undertaken by an experienced surgical team.

Methods: This study included 46 cases of relaparotomies. This study conducted in department of gynecology & surgery and the subjects were enrolled on the basis of inclusion and exclusion criteria.

Results: Total relaparotomies were 23. 83% were following caesarean section.17% were following Gynaecology related surgeries. Most common indication was hemoperitoneum. Coagulopathy was associated with 43% of cases. Average duration of time between primary surgery and reoperation was 18.5 hrs. Total deaths were 6(26%) and all were obstetric cases. The most common cause of death was coagulopathy with multi organ failure.

Conclusions: This study concludes that, relaparotomies can be prevented by adopting simple but important techniques during the surgical procedure. Adequate replacement of blood and blood products can prevent dilutional coagulopathy.

 

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References

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Published
2020-03-30
How to Cite
1.
Kakkar TR, Kakkar A. A Prospective Study on Relaparotomies Following Obstetric & Gynecological Surgeries: A Hospital Based Study. Int Arch BioMed Clin Res [Internet]. 2020Mar.30 [cited 2020May28];6(1):OG1-OG3. Available from: http://iabcr.org/index.php/iabcr/article/view/557
Section
ORIGINAL ARTICLES ~ Obstetrics & Gynaecology